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Individual

ALTAF HOSSAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
18 S 18TH ST, KANSAS CITY, KS 66102-4928
(785) 230-1319
Mailing address
18 S 18TH ST, KANSAS CITY, KS 66102-4928
(785) 230-1319

Taxonomy

Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
2012027551
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
K02-91-5192
DRIVING LICENSE
KS
Enumeration date
01/11/2019
Last updated
01/11/2019
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